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原发性开角型青光眼患者的近距和远距立体视锐度。

Near and Distance Stereoacuity in Patients With Primary Open-angle Glaucoma.

机构信息

Department of Ophthalmology, Maryknoll Hospital, Jung-gu, Busan.

Department of Ophthalmology, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Jung-gu, Daegu.

出版信息

J Glaucoma. 2018 Jun;27(6):537-542. doi: 10.1097/IJG.0000000000000963.

DOI:10.1097/IJG.0000000000000963
PMID:29634650
Abstract

PURPOSE

To compare near and distance stereoacuity between patients with primary open-angle glaucoma (POAG) and a control group, and to analyze the associations between stereoacuity and POAG severity.

METHODS

This cross-sectional study compared near and distance stereoacuity between the POAG and control groups. The data from the POAG group were used to assess the associations between stereoacuity (both near and distance) and the severity of visual field (VF) defects (based on Hodapp-Anderson-Parrish classification and the VF index).

RESULTS

The study included 94 eyes of 47 patients with POAG and 80 eyes of 40 control subjects. Near and distance stereoacuity were significantly lower in the POAG group than in the control group (both P<0.001). Near stereoacuity worsened with POAG severity in terms of both the Hodapp-Anderson-Parrish classification and VF index (P=0.007 and P=0.049, respectively). However, distance stereoacuity was not associated with POAG severity for either categorization (P=0.12 and P=0.57, respectively). The proportions of patients with reduced near stereoacuity and those with a lack of distance stereoacuity were higher in the POAG group than in the control group.

CONCLUSIONS

Near and distance stereoacuity were significantly lower among patients with POAG than among control subjects. Near stereoacuity worsened with increasing POAG severity but distance stereoacuity did not. However, the proportion of patients with a lack of distance stereoacuity was higher in the POAG group than in the control group.

摘要

目的

比较原发性开角型青光眼(POAG)患者与对照组的近距和远距立体视锐度,并分析立体视锐度与 POAG 严重程度之间的关系。

方法

本横断面研究比较了 POAG 组和对照组的近距和远距立体视锐度。使用 POAG 组的数据评估了立体视锐度(近距和远距)与视野(VF)缺损严重程度(基于 Hodapp-Anderson-Parrish 分类和 VF 指数)之间的关系。

结果

研究共纳入 47 例 POAG 患者的 94 只眼和 40 例对照组患者的 80 只眼。POAG 组的近距和远距立体视锐度均明显低于对照组(均 P<0.001)。近距立体视锐度在 Hodapp-Anderson-Parrish 分类和 VF 指数方面均随 POAG 严重程度的加重而恶化(分别为 P=0.007 和 P=0.049)。然而,在两种分类方法中,远距立体视锐度与 POAG 严重程度均无相关性(分别为 P=0.12 和 P=0.57)。POAG 组中近距立体视锐度降低和远距立体视锐度缺乏的患者比例高于对照组。

结论

POAG 患者的近距和远距立体视锐度明显低于对照组。近距立体视锐度随 POAG 严重程度的加重而恶化,但远距立体视锐度则没有。然而,POAG 组中缺乏远距立体视锐度的患者比例高于对照组。

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